How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Facility | None | $93.33 | $93.33 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $109.65 | Professional | None | $83.18 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $41.69 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $21.88 | Professional | 53 · Discontinued | $16.60 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $14.13 Typical High $16.22 | Professional | 55 · Aftercare only | $12.59 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.55 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.32 | $9.55 | $10.96 |
BCBS Texas Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $616.60 | Facility | None | $181.97 | $263.03 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,096.48 | Professional | None | $660.69 | $1,096.48 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $154.88 | Facility | None | $93.33 | $120.23 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $117.49 | Professional | None | $83.18 | $95.50 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $41.69 | $47.86 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $21.88 | Professional | 53 · Discontinued | $16.98 | $19.05 | $21.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $14.13 Typical High $16.22 | Professional | 55 · Aftercare only | $12.59 | $14.13 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.55 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.51 | $9.55 | $10.96 |
Oscar Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $302.00 | Professional | None | $204.17 | $204.17 | $302.00 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $125.89 Typical High $154.88 | Facility | None | $93.33 | $125.89 | $154.88 |
Providence Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Where Texas sits
The same service costs 83.2 times more in North Dakota than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 36th of 51
$102
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.